Active NPI
Julio A Lemos, M.D.
- Diagnostic Radiology Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 268642
- Practice address
- 16 Degrandpre Way Ste 600
Department of Radiology (1329)
Plattsburgh, NY 12901-6454 - Phone
- (518) 563-0490
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 268642 | NY | Primary |
Addresses
Primary practice location
16 Degrandpre Way Ste 600
Department of Radiology (1329)
Plattsburgh, NY 12901-6454
Mailing address
PO Box 2007
East Syracuse, NY 13057-4507
Phone (315) 362-5285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0-640-194-7 | Other | ECFMG ID NUMBER | |
| 060-0003458 | Other | VT | PHYSICIAN LICESE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101027000960 | VT | Practitioner - Diagnostic Radiology | 1254525835 | Reassigns benefits to 4 organizations |
| I20120308000281 | NY | Practitioner - Diagnostic Radiology | 1254525835 | Reassigns benefits to 8 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268642 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Porter Hospital Inc | Current | Accepting new patients | |
| Porter Hospital, Inc | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients |
Locations
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
16 Degrandpre Way
Ste 600
Plattsburgh, NY 12901
Phone (518) 562-7500
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185
104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- jlemos399212@direct.uvmhealth.org
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
NY
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
NY, VT
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
-
- Medicare Defined Swing Bed Hospital Unit
- Malone, NY
- NPI 1689369696
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cayuga Medical Associates PCAlice Hyde Medical CenterChamplain Valley Physicians Hospital Medical CenterElizabethtown Community Hospital
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296
133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545
310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7100
75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377
Hospital & facility affiliations
- The University of Vermont Health Network - Champl
- Cayuga Medical Center at Ithaca
- Elizabethtown Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 14 |
| Removal of skin lesions | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1689736720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2007",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130574507",
"telephone_number": "315-362-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 DEGRANDPRE WAY STE 600",
"address_2": "DEPARTMENT OF RADIOLOGY (1329)",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016454",
"telephone_number": "518-563-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMOS",
"first_name": "JULIO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "268642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG ID NUMBER",
"identifier": "0-640-194-7",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICESE",
"identifier": "060-0003458",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.